Perinatal newsletter

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Perinatal newsletters

Perinatal newsletters will be archived here, with the name indicating the year and month of publication. After the link, there will be a very abbreviated table of contents. As I have time, salient points will be extracted and placed elsewhere within the OB-Gyn section of this website, so that downloading a file will not be necessary.

Update January 2018
MFM/OB consults
New GDM glucose goals
Herpes testing

Newsletter of 2015 October
Ultrasound Logistics

Newsletter of 2015 August
Cesarean Wound Management

Newsletter of 2012 Mar/Apr
  • Clinical Scenarios: "GBS in the Urine: To Treat or Not to Treat?"
  • New Antepartum Testing Guidelines at CCRMC
  • Postpartum Tubal Form Reminder
  • Friday Evening IUD & Implanon clinic

Newsletter of 2012 Jan/Feb
  • Clinical Scenarios: "The Small Belly"
  • Beyond "Negative x 4": Antepartum Testing & Abnormal Serum Analytes (by Dr. Lehman)
  • Flu & Tdap Vaccines in Pregnancy

Newsletter of 2011 Nov/Dec
  • Clinical Scenarios: "The Itchy Patient"
  • When to Consult Pediatrics (from Dr. Jolton & Peds dept)
  • PT Pelvic Rehab Clinic Now Open (from Dr. Keller & PT dept)

Newsletter of 2011 Sept/Oct
  • Clinical Scenarios: "2-Vessel Cord Seen on Routine Ultrasound"
  • Updated CDC Recommendations for Postpartum Contraception
  • Early Ultrasound Clinic Now Available at PHC & MTZ
  • When to Order IV Iron Sucrose

Newsletter of 2011 Jan/Feb
  • Clinical Scenarios: "Incidental Finding of a Complete Previa"
  • Umbilical Artery Dopplers: What are they and when to use them?
  • Using 2-hr GTT rather than 3-hr GTT for GDM Diagnosis
  • AMA: New CCRMC Antenatal Testing Guidelines

Newsletter of 2010 Oct/Nov
  • Clinical Scenarios: "A Case of 2 GBS"
  • Hemoglobinopathies in Pregnancy
  • Tubal Ligation 330 PM Forms

Newsletter of 2010 Aug/Sept
  • Scheduling C-Sections
  • Scheduling Inductions
  • GBS Update
  • Revised GDMA2 Antenatal Testing Guidelines

Newsletter of 2010 June/July
  • Antenatal Perineal Massage (patient handout in English)
  • Chronic Hepatitis B & C in Pregnancy
  • Weight Gain in Pregnancy: New IOM Recommendations
  • Antenatal Testing at Pittsburg Health Center

Newsletter of 2010 Apr/May
  • ACOG's New Pap Smear Guidelines
  • Asthma in Pregnancy
  • Single Umbilical Artery

Newsletter of 2010 Mar
  • Group B Streptococcus (patient handout in English / Spanish)
  • Postpartum Screening for GDM Patients
  • External Cephalic Version (patient handout in English / Spanish )
  • CCRMC's Doula Program

Newsletter of 2010 Feb
  • VBAC: Prenatal Care Aspects
  • GDMA2 and Type 2 DM Inductions
  • Post C-section Wound Infections
  • New Antenatal Testing Recommendation for AMA Patients

Newsletter of 2010 Jan
  • How to Date a Pregnancy
  • Anemia in Pregnancy
  • Antibiotic Use During Pregnancy
  • "New-ish" Fetal Heart Rate Monitoring Guidelines

Newsletter of 2009 Jan
  • Discussion of evaluating possible intrauterine growth restriction (IUGR)
  • Discussion of vaginal trial of labor (VTOL)
  • Brief reminder about cholestasis of pregnancy

Newsletter of 2008 Jan
  • Discussion of use of ultrasound for dating pregnancy
  • Use of oral medicines for diabetes in first-trimester pregnancies
  • Why not to do pap smears in pregnant teens who recently became sexually active
  • Expansion of antepartum testing availability
  • Guidelines for TB screening in pregnant women
  • Reminder to do CBC, RPR and HIV at 34-36 weeks
  • Guidelines for referrals to perinatalogists (high-risk OB)
  • General guidelines for antepartum fetal monitoring
Newsletter of 2007 Oct
  • Reminder about when/why to screen for gestational diabetes
  • TB screening: download an explanation or an algorithm
  • Announcement of varicella (chicken pox) screening in prenatal patients without a prior history of chicken pox
  • Discussion of whether a patient with two prior cesarean sections can get a vaginal trial of labor (VTOL)
Newsletter of 2008 July
  • New abnormal pap guidelines
  • List of multiple areas to watch out for in prenatal care, including
    • Sign tubal paper after 20 weeks but before 35 weeks
    • Federally funded tubal consent is used for MediCal (TR, TO, GO), non-federally funded for HO, PP
    • On East Bay Perinatal ultrasounds, calculate EDD from their "gestational age", not on what they list as "Final EDD"
    • Consider progesterone injections for anyone with history of idiopathic preterm delivery
    • Pre-eclampsia workups should be started and followed-up on L & D. If you start work-up in clinic, have patient follow-up on L&D the next day
    • If HepB SAg +, get also viral load, LFTs, eAg, eAb
    • Elective cesareans are at 39 weeks. If based on outside ultrasound, send a copy to L&D
    • Short cervix (< 2.5) at less than 32 weeks or funneling of cervix requires immediate consult whether cerclage is indicated
    • Ultrasounds showing significant IUGR (especially if less than 3%) need a delivery plan
    • Sonos with possible previa need follow-up as well as instructions to patient for pelvic rest after 24-26 weeks while awaiting verification